Center Chapel Preschool Application
Child's Name (the name as you would like your child to learn to write)
Birthday
Email Address
Address
City
Zip
Home Phone
Father's Name
Father's Home Phone
Father's Cell Phone Number
Father's Address
Present Employer
Employer's Phone
Mother's Name
Mother's Home Phone
Mother's Cell Phone Number
Mother's Address
Mother's Employer
Employer's Phone
In Case Of Emergency Notify
Relationship and Phone Number
Does Child have physical limitations?
List Names and Ages of other children
List other people who may pick up your child.
What would like to tell us about your child?
Please tell us how you heard about our Pre-School
Choose Your Class Preference
Wee Ones 9-11 AM (Tu-Thr)
Pre-K 9-11 AM (M-W-F)
Pre-K 12-2:30 PM (Tu-Thr)
We Make Our School Bags the 1st Week of School! Will Your Child Need a School Bag?
School Bag?
Check Here If You Want An Email Acknowledgement of This Application.
Email Acknowledgement
Before you click the submit button, please jot down and follow these directions:
1. Confirm your information and click continue.
2. The next page may tell you your data has been sent and ask you to return to the website
at the bottom of the page
. It is very important to do that as it will link you to our signature page.
3. The signature page must be printed, signed and sent with the registration fee to CCPS!
This is a very important step!
Your application will them be complete and you will receive confirmation, either by phone or mail, of your child's admission to school! Thanks so much for your patience.